0001567619-23-000824.txt : 20230111 0001567619-23-000824.hdr.sgml : 20230111 20230111170645 ACCESSION NUMBER: 0001567619-23-000824 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230109 FILED AS OF DATE: 20230111 DATE AS OF CHANGE: 20230111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Madhu Sanjay CENTRAL INDEX KEY: 0001439935 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36346 FILM NUMBER: 23524176 MAIL ADDRESS: STREET 1: 425 EAST DAVIS BLVD. CITY: TAMPA STATE: FL ZIP: 33606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: OXBRIDGE RE HOLDINGS Ltd CENTRAL INDEX KEY: 0001584831 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 981150254 STATE OF INCORPORATION: E9 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469 STREET 2: 90 NORTH CHURCH STREET CITY: GEORGETOWN STATE: E9 ZIP: KY1-9006 BUSINESS PHONE: 345-749-7570 MAIL ADDRESS: STREET 1: STRATHVALE HOUSE, 2ND FLOOR, PO BOX 469 STREET 2: 90 NORTH CHURCH STREET CITY: GEORGETOWN STATE: E9 ZIP: KY1-9006 4 1 doc1.xml FORM 4 X0306 4 2023-01-09 0 0001584831 OXBRIDGE RE HOLDINGS Ltd OXBR 0001439935 Madhu Sanjay SUITE 201, 42 EDWARD STREET GEORGETOWN GRAND CAYMAN E9 KY1-9006 CAYMAN ISLANDS 1 1 0 0 CEO, President Ordinary Shares 125231 I See Footnote Ordinary Shares 2023-01-09 4 A 0 40000 0 A 80000 D Share Options (right to buy) 6 2031-03-02 Ordinary Shares 175000 175000 D Share Options (right to buy) 2.00 2029-03-16 Ordinary Shares 200000 200000 D Share Options (right to buy) 6.06 2027-01-20 Ordinary Shares 25000 25000 D Share Options (right to buy) 6.00 2026-01-16 Ordinary Shares 25000 25000 D Share Options (right to buy) 6.00 2025-01-23 Ordinary Shares 120000 120000 D Warrants to Purchase Ordinary Shares 7.5 2024-03-26 Ordinary Shares 105000 105000 I See footnote Warrants to Purchase Ordinary Shares 7.5 2024-03-26 Ordinary Shares 98768 98768 I See footnote Shares indirectly held in the name of Universal Finance and Investments, L.C., which is 100% owned by the Reporting Person. Represents grant of restricted ordinary shares under the Issuer's 2021 Omnibus Incentive Plan. These share options vest in increments of 6.25% each on a quarterly basis, commencing on the date granted, and continuing on April 1st, July 1st, October 1st and January 1st of each calendar year, over a four-year period. Currently exercisable. /s/ Sanjay Madhu 2023-01-11